Hassle-free Administration.

Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.

ICD-10 Updates


Statement Regarding the Delay of the ICD-10 Compliance Date  
On April 1, 2014, the Protecting Access to Medicare Act of 2014 was signed into law. The bill includes a provision that effectively delays the implementation of ICD-10 diagnosis and inpatient procedure codes for at least one year.  
We are committed to meeting the requirements of all mandates, including the implementation of the ICD-10 code set. We are currently assessing the impact of this change. Our plans will continue to be updated as we receive more information about the ultimate ICD-10 implementation date.  
We are able to accept the revised CMS-1500 claim form (incorporating changes that will accommodate ICD-10) that became effective on April 1, 2014. No ICD-10 codes should be submitted on claims, however until the mandated compliance date. Note that the new version of the form is not required, and we will be able to accept and process claims submitted using either version of the form.  
We will continue to work to help ensure that our systems, supporting business processes, policies and procedures successfully meet the implementation standards and deadlines without interruption to day-to-day business practices. We will be capable of accepting and processing ICD-10 diagnosis and inpatient procedure codes on the mandated compliance date.  
ICD-10 FAQs for Providers
This FAQ contains educational information about ICD-10, as well as answers to questions about our ICD-10 implementation 
Key Project Information
We have made several key decisions that will guide our implementation strategy and will be useful as you plan your transition to ICD-10.
ICD-10 Claims Processing

ICD-10 Pre-Authorization
ICD-10 Implementation Resources to assist you
Suggested resources to help with your ICD-10 transition. 
Contact Us
For ICD-10 questions and surveys, send us an email to ICD10-Inquiry@empireblue.com  
©2014 Empire BlueCross BlueShield

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.